| NPI | 1265031108 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW CRAIG LEWIS Surgical First Assist 602-882-3439 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical |
| Enumeration Date | 2020-10-21 |
| Last Update Date | 2020-10-21 |